Annales Academiae Medicae Stetinensis (Ann Acad Med Stetin)

Publisher: Pomorska Akademia Medyczna (Szczecin)

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Other titles Roczniki Pomorskiej Akademii Medycznej w Szczecinie, Annales Academiae Medicae Stetinentis, Roczniki, Roczniki PAM
ISSN 1427-440X
OCLC 68765320
Material type Periodical
Document type Journal / Magazine / Newspaper

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: The aim of the study was an analysis of the feelings of pregnant women at risk ofpreterm labour. 313 expectant mothers aged between 18 to 44 years (ranges: 18-25, 26-30 and 31-44 years) with no psychological disorders, hospitalized and treated due to the risk of preterm labour were surveyed. All the examined pregnant women expressed voluntary and informed consent for the participation in the survey. Each of the questionnaires given to the examined pregnant women contained: a questionnaire form devised by the authors, to establish the characteristics of the surveyed expectant mothers, and the following research standardized tool - Negative and Positive Feelings Scale by P. Brzozowski. The value of the mean level of positive feel- ings state in the group of patients aged 31-44 years with higher education was significantly higher (p < 0.05) than the mean value in the group of patients aged 26-30 years with secondary or primary/vocational education. Marital status and place of residence had no effect on the level of positive feelings as a condition of pregnant women in the study group (p > 0.05). There were no significant statistical differences (p > 0.05) between the level of negative feel- ings trait and age. It was found, however, that the level of negative feelings trait was significantly lower (p = 0.0009) in pregnant women with higher education than in pregnant women who had completed secondary education. 1. Among pregnant women at risk of pre- term labour, higher levels of positive feelings were found in pregnant women aged 31-44 years with higher education, being married and residents of a provincial city. 2. In order to reduce negative feelings in pregnant women at risk of preterm labour it seems important to implement appropriate psychological and prophylactic management, provide adequate care in the pregnancy pathology department, as well as support from the medical staff and the family. These activities should be targeted particularly at younger women with primary education or vocational training, not being married and living in rural areas.
    Annales Academiae Medicae Stetinensis 12/2014; 60(1):65-74.
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    ABSTRACT: scientific discipline. In the 19th century two milestones revolutionised surgery: the development of narcosis, which enabled painless surgery, and the introduction of antisepsis and asepsis. The author presents the beginnings of academic surgery in Cracow. Its pioneer surgeons are presented. Extensive research was undertaken to collect the literature and documents in Polish, Austrian and German archives and libraries in order to prepare this study. Biographical details of the director of the Surgical Clinic, Prof. Antoni Bryk, are provided. He was the first person in Poland to introduce antisepsis and galvanocautery as routine procedures in the Cracow Clinic. The introduction of antisepsis contributed to a reduction in infection during surgery, and a reduction in postoperative mortality in Cracow Surgical Clinic. In this way Professor Bryk became the first Polish surgeon to apply Lister's antiseptic method in the treatment of wounds. Thus enlarged, the scope of surgery for intracranial, bone and other procedures became routine. Surgery is the oldest discipline in medicine. Poland's first university chair of surgery was established in the 18th century. Surgery, which until then had been the domain of barbers and bath house attendants, became a clinical
    Annales Academiae Medicae Stetinensis 12/2014; 60(1):109-17.
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    ABSTRACT: It is commonly known that gynaecologi- cal examinations cause a lot of negative emotions in the majority of women. The aim of my work was: 1. Getting to know women's views on the nature of a pelvic examination and their expectations regarding gynaecologists. 2. To determine the correlation between the examined views and independent variables such as the age of the respondents, residence, and place of examination. The research material consisted of 1200 women living in the region of Western Pomerania and in Lódź. The measurement tool was a survey of my own authorship. 1. In the opinion of most women, gynaecological examination is embarrassing and stressful. It has not been proven that this opinion was related to age, residence or place of examination. 2. According to women, the most embarrassing moment of a visit to the gynaecologist is lying down on the gynaecological chair, and the gynecological examination. The most unpleasant aspect is palpation through the vagina and rectum. These feelings differ depending on age, residence and place of taking the examination. 3. The choice of the gynaecologist's gender is dependent on women's age. 4. The frequency of reporting for the gynaecological examination decreases with women's age, and is dependent on their place of residence. 5. A sense of safety and mental comfort during the gynaecological examination is provided by the lack of third parties, except for the presence of a midwife. It is also dependent on the patient's age, her place of residence, as well as the examination site. 6. Women's expectations of a gynaecologist are focused mainly on maintaining a sense of intimacy and safety, getting information about the procedures, as well as a pleasant and individual approach.
    Annales Academiae Medicae Stetinensis 12/2014; 60(1):52-9.
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    ABSTRACT: The article describes the problem of corruption occurring in the relationship between doctor and patient. The doctor-patient relationship, including the provision of health services, is one of several potential areas of corruption in the health care system. Among the reasons for the existence of corruption in these relationships are the need to obtain better healthcare for the patient, and higher earnings in the case of a doctor. Indications of corruption are utilitarian (action for personal advantage without ethical aspects), but may also be (actually or in the patient's opinion) the only way to obtain services and save health and even life. Corruption between the doctor and the patient can be limited by better organization of the health care system, including the financing of benefits and education of medical personnel and patients, as well as traditional legal measures, such as prevention or the application of criminal sanctions.
    Annales Academiae Medicae Stetinensis 12/2014; 60(1):134-9.
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    ABSTRACT: This article presents the results of research based on the feelings and responses of members of a sports club, in relation to a fitness programme offered by Fitness World. The study consisted of a group of 58 participants chosen at random. Statistically, the analysed results of the research show that the biggest group attending Fitness World consists of men between 31 and 50 years of age with higher education, and women between 18 and 30 with, mostly, higher education. In general, men prefer to participate in aerobics group sessions and gym sessions, and women choose to take part in any activities. The most preferred time was between 5 p.m. and 10 p.m., usually after work, and with a frequency of twice a week. It was not possible to determine the main reasons for motivation, although 93% prefer to practise regularly.
    Annales Academiae Medicae Stetinensis 12/2014; 60(1):97-100.
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    ABSTRACT: Studies on many populations have shown that the length of the second finger (2D) compared to the fourth (4D), expressed as the finger length ratio (2D:4D), might be characteristic for sexual dimorphism. It was also found that the values of 2D:4D differ significantly between examined populations. It is thought that the value of 2D:4D is determined in early foetal life under the influence of genetic factors and the strong influence of sex hormones. It has been proven that the values of 2D:4D are related to, for instance, sexual orientation, and artistic and sporting ability. Recently, increasing interest in the clinical signifi- cance of finger length ratio in the diagnosis of somatic and mental disorders has been observed. For example, it was found that values of 2D:4D in individuals suffering from congenital adrenal hyperplasia or autism were significantly lower compared to healthy subjects. The aim of the study was to determine sexual dimor- phism in finger length ratio among representatives of the Polish population. The study group comprised 115 people (57 females and 58 males). Anthropometric meas- urements were taken from the second and fourth finger of the right and left hands - from the point of dactylion (da) to pseudophalangion (pph) using analogue callipers. We calculated the significance of differences in 2D:4D between males and females separately for the right and left hands. In both hands mean 2D:4D values were lower in males than in females. The difference in the right hand reached the statistical significance level with p < 0.05. Among the subjects from the examined population the 2D:4D ratio shows trends characteristic for sexual dimorphism.
    Annales Academiae Medicae Stetinensis 12/2014; 60(1):47-51.
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    ABSTRACT: In medicine spectacular progress can be observed at many stages, which sometimes requires the redefinition of already known anatomical structures. One of them is the transverse abdominal plane, which was the focus of anaesthetists. It was observed that anaesthetics introduced locally into this plane have similar power to a traditional epidural procedure or spinal anaesthesia. The concept of the trans- verse abdominal plane is a relatively new anatomical term which was introduced into clinical medicine by anaesthetists. Because of the potential performance of anaesthetic pro- cedures through access to the transverse abdominal plane, there has been a growing interest not only expressed by anaesthetists, but also anatomists who wish to explore new anatomical aspects of this plane. It is generally believed that anatomical studies will provide more information on this plane, which can contribute to a wider spread of this pro- cedure among anaesthetists.
    Annales Academiae Medicae Stetinensis 12/2014; 60(1):16-9.
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    ABSTRACT: The aim of the study is to present the development of hospital services and the teaching of medicine, and the development of urology in Danzig (Gdańisk). Well known Danzig surgeons who were interested in surgery of the genitourinary system are also presented. The beginning of urological surgery and its development within the framework of the department of surgery and as an independent facility at the Medical Academy of Gdafisk in the post-war period is also described. Extensive research was undertaken for the collection of literature and documents in German and Polish archives and libraries in order to prepare this study. The history of hospitals in Danzig goes back to the arrival of the Teutonic Knights in 1308. The earliest institution, according to historical sources, was the Hospital of the Holy Spirit, built in the years 1310-1311. It was run by the Hospitalet Order until 1382, and was intended for the sick, elderly and disabled people, orphans and needy pilgrim, and the poor. Later centuries saw the further development of hospital services in Danzig. In the 19th century, the city's increas ing population, the development of the sciences, and rapid advances in medicine subsequently led to the establishment of three more hospitals in Gdafisk: The Hospital for Obstetrics and Gynaecological Disease (1819), the Holy Virgin Hospital (1852), and the Evangelical Hospital of Deaconess Sisters (1857), in addition to the old Municipal Hospital. In 1911, new modern buildings of Municipal Hospital in Danzig were finished. On the basis of the Municipal Hospi- tal, the Academy of Practical Medicine was established in 1935. It was known under the name Staatliche Akademie fiir Praktische Medizin in the Free City of Danzig. Five years later (in 1940) the Academy was developed and changed to the Medical Academy of Danzig (Medizinische Akad- emie Danzig - MAD). The beginning of medical teaching at the middle level in Danzig (Gdafsk) dates back to the 16th century. It had its origins in the Chair of Anatomy and Medicine at Danzig Academic Gymnasium (GA; Sive Illustre), an establishment which lasted for 239 years, from 1584 to 1812. The history of surgery in Danzig has its roots in the centuries-old tradition of the medical practice of surgeons who were associated in the Surgeons Guild, teaching, as well medical and scientific research. The Surgeons Guild existed in Danzig from 1454 to 1820. Over the centuries manual intervention was also in the hands of academically uneducated persons such as bath house attendants, barbers, and wandering surgeons. Until the end of 1946 there was no separate urology department in Danzig. Urological surgery was in the hands of surgeons. Interventions and operations on genitourinary organs were carried out, more or less, in all surgical departments. The end of World War II created a new political situation in Europe. Danzig (now Gdafisk) and Pomerania became part of Poland. In 1945, on the basis of the former MAD, the Polish Government established the Polish Academy of Physicians, later renamed the Medical Academy in Gdafisk (Gdafiska Akademia Medyczna - GAM). In 2009, GAM was again renamed, as the Medical University of Gdafisk (Gdaiski Uniwersytet Medyczny). The political changes after World War II accelerated the process of the separation of urology from surgery. In May 1947, a 30-bed Urological Ward was opened in Gdanisk, in Debinki Street, forming part of the First Surgical Clinic of the Academy of Physicians (headed by Prof. Kornel Michejda, 1887-1960, later by Prof. Stanislaw Nowicki, 1893-1972, and lastly by Prof. Zdzislaw Kieturakis, 1904-1971). The first head doctor of the new urological ward was Dr. Tadeusz L$renz (1906-1986), a urologist from Lvov (Lemberg). After the departure of Professor Lorenz to Wrodclaw (Breslau) in 1958, Dr. Jan Renkielski was acting as Head of the Urological Ward until 1971. In 1971 the ward was transformed to the separate Department of Urology. Docent ("lecturer"), and later Professor, Kazimierz Adamkiewicz from Zabrze (Hindenburg) became its Head. Professor Adamkiewicz organized and equipped the Department, leading it quickly to the level of modern departments in the areas of research, teaching, and therapy. During Professor Adamkiewicz's ill- ness, and after his retirement in 1988, Docent Kazimierz Krajka, Later Professor) headed the urological department until his retirement in 2012. Since 1 October 2012, Associate Professor (Docent) Marcin Matuszewski (*1965) has been the head of the Department of Urology in Gdańisk.
    Annales Academiae Medicae Stetinensis 12/2014; 60(1):118-33.
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    ABSTRACT: Pregnancy in a rudimentary horn of the uterus, a rare form of ectopic pregnancy, develops in women affected by developmental abnormalities of the growth and fusion of the Müllerian paramesonephric ducts. In the Polish population, this problem affects 4-8 women per year. The paper analyzes the problems that are associated with pregnancy developing in the rudimentary horn. Due to the continuous progress in medical sciences, maternal mortality has been almost completely eliminated in this form of ectopic pregnancy, while neonatal survival has risen to about 20%. Further devel- opments in medicine allow us to be moderately optimis- tic about further improvement of the treatment's statistics.
    Annales Academiae Medicae Stetinensis 12/2014; 60(1):20-2.
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    ABSTRACT: The article describes attitudes to disability and physically disabled people, taking into account the aspect of ethical and social location, what physically disabled meant in societies, and ways to solve the problems of disability. The article is based on studies of disability and historical sources. Christ's attitude shown in the Gospels changed the traditional cultures of the ancient treatment of disability in terms of it being seen as a penalty of the divine. The development of Christianity caused a gradual expansion of the ideas of charity, at the same time stepping up care and material support to all those physically disabled in need. Care of the disabled is based mostly on charity. Church activities supported, by the structure of the State and private individuals, was of paramount importance. Medieval society felt responsible for disabled people.
    Annales Academiae Medicae Stetinensis 12/2014; 60(1):103-8.
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    ABSTRACT: The article presents the results of studies on potential risks associated with the abuse of vitamin supplements which until recently had been considered not only highly effica- cious, but also completely safe. Particular consideration is given to vitamins A, E, D and C. The necessity to control the intake of vitamin supplements and even to strictly super- vise the supply to high risk patients is highlighted.
    Annales Academiae Medicae Stetinensis 12/2014; 60(1):60-4.
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    ABSTRACT: The aim of the dissertation was to com- pare the psychophysical state of people over 50 years of age from different societies. The first group consisted of 30 care home residents, the second group consisted of 30 participants of Active Senior Fair. In the research, two scales were applied: Mini-Mental State Examination, measuring the mental state, and Instrumental Activity of Daily Living, measuring agility in the field of complex everyday tasks. CONCLUSIONA: The study indicates the difference in the psychophysical state of both researched groups. The results may be connected with both age difference between groups and different living environment.
    Annales Academiae Medicae Stetinensis 12/2014; 60(1):93-6.
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    ABSTRACT: 3-Hydroxy-3-Methyl-Glutharyl-Coenzyme A reduct- ase inhibitors, known as statins, form a group of chemical compounds that are characterized by the ability to inhibit cholesterol synthesis. Statins have proved their efficacy as potent drugs in the primary and secondary prevention of cardiovascular events. It has also been shown that the thera- peutic effects of statins go beyond reduction of cholesterol level. These properties, which are separate from the influ- ence on cholesterol synthesis, are sometimes called the pleio- tropic effect. This effect comprises immunomodulation, an anti-inflammatory effect, and endothelial function recovery.
    Annales Academiae Medicae Stetinensis 12/2014; 60(1):39-45; discussion 45-6.
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    ABSTRACT: Sport among disabled people is becoming more and more popular. It is happening mostly due to the growing number of sports centres for the disabled, and the widespread popularization of this form of activity by organi- zations working for the benefit of disabled people. Also, the mass media play an important role in the process. The aim of the study a comparison of the knowledge and opinions about disabled sports of physical education students and disabled athletes. The research was conducted using two dif- ferent questionnaires. One of them was given to students of Physical Education, the other to members of a disabled sports club, "Start". The questionnaires consisted of two sections: a personal profile, and 17 questions about disabled sports. 45 full-time students of Physical Education at the University of Szczecin: 30 (66.7%) women and 15 (33.3%) men. The average age of the group was 23.6 years. The second group, from the disabled sports club, consisted of 33 people, 18 (54.5%) women and 15 (45.5%) men; the aver- age age of the participants was 28.6 years. Among the disabled people, 10 (30.3%) people were unable to name any disabled athlete; among the. group of able-bodied students, there were 33 (73.3%) people who were not able to do the same thing. According to students, disabled people do sports mainly for rehabilitation purposes (51.1%). According to the disabled students' group, however, sport for disabled people means satisfaction and higher self-esteem (36.36%). When it comes to the best source of information on the subject, television proved to be the best one among the media. The able-bodied students rated their knowledge of disabled sports as satisfactory (66.7%), while only 6% of disabled students considered the knowledge of able-bodied people about disabled sports to be satisfactory. 1. The knowledge about disabled sports among students of physical education is superficial. The disabled also do not possess an extensive knowledge about disabled sports. 2. Opinion on the importance of sport in the lives of disabled people differ between the research groups. Able-bodied people see the role of sport mainly as a rehabilitation tool; disabled people, however, see it as an activity giving satisfaction and raising their self-esteem.
    Annales Academiae Medicae Stetinensis 12/2014; 60(1):88-92.
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    ABSTRACT: Tension pneumothorax is a directly criti- cal illness condition. The aim of this study was to evaluate the outcome of tension pneumothorax treatment in trauma patients. We assessed the results of treat- ment of 22 patients hospitalized for trauma in 2000-2010, in whom at the time of admission tension pneumothorax symptoms were found. This constituted 18% of trauma patients who at the time of admission to the hospital, during the initial examination, were diagnosed with pneumothorax. In the study group there were 17 men and 5 women. The patients' ages ranged from 21 to 85 years (mean 48.8). In 19 cases tension pneumothorax was associated with polytrauma. Traffic accidents were the cause of most cases. Injury to one or both lungs was observed in 16 patients. Typical paradoxi- cal breathing occurred in 2 patients. The number of frac- tured ribs averaged 6.3 per patient. In each of the patients, immediately on admission, after diagnosis based on clini- cal symptoms, tension pneumothorax decompression was performed by pleural drainage. Lung decompression and improvement of the clinical condition of the patient were obtained in a few minutes after pleural drainage. Then, fur- ther diagnostic and therapeutic procedures were continued. Full time of hospitalization due to polytrauma injury was on average 58.6 days. Two patients died during treatment for polytrauma. Pneumothorax was not the cause of death in either of the patients. In summary, the therapeutic standard ordering of tension pneumothorax decompression, directly on admission to the hospital, allows the patient to survive in spite of the grave nature of the injury.
    Annales Academiae Medicae Stetinensis 12/2014; 60(1):10-5.
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    ABSTRACT: The concept of the decision interval which replaces the normal range in medical decision-making in the contemporary setting of evidence- and procedure-based medicine is presented. The definition and some properties of the decision interval are discussed.
    Annales Academiae Medicae Stetinensis 12/2014; 60(1):101-2.
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    ABSTRACT: The aim of this work was to examine the relationship between body concept and personality, and sociodemographic, physical and medical factors in der- matological patients with skin lesions localized in socially visible body areas. The study was carried out in 160 dermatological patients (80 females and 80 males) aged 30-60 years (mean = 48.26; SD = 9.15) whose skin lesions were localized in the area of the face/head and/or hands. Body image was measured with the Body Image Questionnaire based on the Body Cathexis Scale of P.F. Secord and S.J. Jourard. The self concept was measured with the Adjective Check List of H.G. Gough and A.B. Heilbrun, and The Wheel Questionnaire of Ben Shalit. Body self image of dermatological patients was influenced mostly by personality traits.
    Annales Academiae Medicae Stetinensis 12/2014; 60(1):75-87.